Ernesto Santistevan in Santa Fe - Clinical

Ernesto Santistevan - NPI 1114137684

Ernesto Santistevan is a Clinical in Santa Fe, New Mexico. Ernesto Santistevan practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ernesto Santistevan is 1114137684. The last update date is 2015-07-30.

Ernesto Santistevan's current location address is 1000 Cordova Pl, Santa Fe, New Mexico. You can contact this provider via phone number 5055772607 and fax number 5059821096. The mailing address for Ernesto Santistevan is 1000 Cordova Pl, Santa Fe, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Ernesto Santistevan
Address 1000 Cordova Pl, Santa Fe, New Mexico
Phone Number 5055772607
Fax Number 5059821096
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1114137684
Provider Enumeration Date 2007-05-23
Last Updated Date 2015-07-30

Provider Mailing Address Detail

Address 1000 Cordova Pl
City Santa Fe
State New Mexico (NM)
Post Code 875051725
Phone Number 5055772607
Fax Number 5059821096

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 688
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Z0874 NM --

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FAQs about Ernesto Santistevan

What is the unique 10-digit identification code assigned to Ernesto Santistevan by the Centers for Medicare & Medicaid Services?

The Ernesto Santistevan has been issued the NPI (National Provider Identifier) 1114137684, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Ernesto Santistevan?

The Ernesto Santistevan is physically situated at 1000 Cordova Pl, in the city of Santa Fe, state of NM, with the postal code 875051725.

What is the Ernesto Santistevan's area of specialization and corresponding taxonomy classification?

The Ernesto Santistevan's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Ernesto Santistevan receive the assignment of its 1114137684 from the Centers for Medicare & Medicaid Services?

The Ernesto Santistevan was issued its 1114137684 by the Centers for Medicare & Medicaid Services on 2007-05-23.

When was the Ernesto Santistevan's information last updated?

The Ernesto Santistevan's information was last updated on 2015-07-30.

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